Document 16082336

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Application to Transfer from SCS Ph.D. program to
CALD Ph.D. Program in Computational & Statistical Learning
Carnegie Mellon University
Center for Automated Learning and Discovery
Personal Data
Mr.
Ms.
__________________________________________
Family Name
Are you a U.S. citizen or permanent resident of the U.S.?
__________________________________________
Given name and middle name (if any)
Yes
No ___________________________
Social Security Number (if any)
Optional Information: If you answered No, the following information is needed to issue an INS Certificate of Eligibility (Form IAP-66 or I20). Providing this information is strictly voluntary and will not affect the consideration of your application in any way.
________________
Date of Birth
______________________
City of Birth
__________________________
Country of Birth
_______________________________
Country of Citizenship
If you are a nonresident alien currently in the U.S., what is your immigration status? ______________________________
Contact Data
_______________________________________________
Home Department
_______________________________________________________
Advisor
_______________________________________________
Current Address (until_________)
_______________________________________________________
Permanent Address (if same as current, leave blank)
_______________________________________________
_______________________________________________________
_______________________________________________
_______________________________________________________
_______________________________________________
Telephone
_______________________________________________________
Telephone
_______________________________________________
Electronic network mailing address
Supporting Data
Provide your resume along with the supporting documents from your home department which include previous
application materials including GREs, transcripts,TOEFL records, recommendation letters and your current
Carnegie Mellon transcripts that include at least two terms of study.
You must provide letter of nomination from your home advisor and also from a potential CALD Faculty Advisor.
_______________________________________________
Name
_______________________________________________________
Title and affiliation
Outline your research experience and list your publications, if any. (Programming and industrial experience should not
be listed here.)
List scholarships held, prizes, honors received, and society memberships.
Briefly state your primary interest in Knowledge Discovery & Data Mining (such as robotics, machine learning,
data mining, data visualization, etc.)
Statement of Purpose
On a separate sheet, type a one or two-page concise statement in the following format:
Part I: Briefly state your objective in pursuing a graduate degree in Knowledge Discovery & Data Mining.
Part II: Describe your background in fields particularly relevant to your objective. List here any relevant
academic or industrial experience.
Part III: Include any additional information you wish to supply to the Admissions Committee.
Please mail this application to:
CALD/SCS
Carnegie Mellon University
5000 Forbes Avenue
Pittsburgh, PA 15213-3891
_________________________________________________________________________________
Signature
Date
Carnegie Mellon University does not discriminate and Carnegie Mellon University is required not to discriminate in admission, employment, or of its programs or activities on the
basis of race, color, national origin, sex or handicap in violation of Title VI of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972 and Section 504 of
the Rehabilitation Act of 1973 or other federal, state, or local laws or executive orders. In addition, Carnegie Mellon University does not discriminate in admission, employment or
administration of its programs on the basis of religion, creed, ancestry, belief, age, veteran status, sexual orientation or in violation of federal, state or local laws or executive
orders. However, in the judgment of the Carnegie Mellon Human Relations Commission, the Department of Defense policy of, "Don't ask, don't tell, don't pursue," excludes
openly gay, lesbian, and bisexual students from receiving ROTC scholarships or serving in the military. Nevertheless, all ROTC classes at Carnegie mellon University are
available to all students. Inquires concerning application of these statements should be directed to the Provost, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA
15213, telephone (412) 268-6684, or the Vice President for Enrollment, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, telephone (412)268-2056.
Obtain general information about Carnegie Mellon University by calling (412)268-2000.
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